Archives of Bone and Joint Surgery-ABJS最新文献

{"title":"Same-Day Discharge Total Joint Arthroplasty: A Bibliometric Analysis.","authors":"Hassaan Abdel Khalik, Mohammed Al-Asadi, Darius L Lameire, Thomas J Wood","doi":"10.22038/ABJS.2025.88447.4009","DOIUrl":"10.22038/ABJS.2025.88447.4009","url":null,"abstract":"<p><strong>Objectives: </strong>Same-day discharge (SDD) total joint arthroplasty (TJA) continues to increase in prevalence globally, especially following the coronavirus disease (COVID-19) pandemic. The purpose of this analysis is to utilize bibliometric methodology to assess publication trends, key figures, and institutions, as well as geographic variations in SDD TJA research.</p><p><strong>Methods: </strong>The Web of Science Core Collection was searched from inception to January 23, 2025, for studies on SDD TJA. Publication rates were assessed using the compound annual growth rate (CAGR) and segmented regression analysis. Top publishing authors, institutions, and countries were tabulated as frequencies. International collaboration was assessed by the prevalence of publications with authors from different nationalities.</p><p><strong>Results: </strong>A total of 121 studies published between 2014 and 2024 were eligible for final analysis, with a CAGR of 44%. Segmented regression demonstrated a significant increase in slope pre-2023 to post-2023 (2.1 vs. 19 publications per year, R2=0.94, P<0.001). Original research comprised 83% of studies, with most being retrospective in nature (66%) and only three being of randomized controlled design (3%). Only four of 15 original studies with a designated primary outcome performed appropriate a priori sample size power analysis. Over half of the studies (53%) were published in the USA, with only seven studies (5.8%) demonstrating international collaboration.</p><p><strong>Conclusion: </strong>SDD TJA research continues to grow at a rapid rate, with a nine-fold increase in publication rate since 2023. Future directions for SDD TJA research include research from varying healthcare delivery models, international collaborative efforts, and methodologically robust randomized controlled trials.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 4","pages":"295-306"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13231251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Orthopedic Knowledge Through Bibliometrics: Promises, Pitfalls, and Practical Applications.","authors":"Raju Vaishya, Abhishek Vaish, Mohammad H Ebrahimzadeh","doi":"10.22038/abjs.2026.97469.4364","DOIUrl":"10.22038/abjs.2026.97469.4364","url":null,"abstract":"","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 9","pages":"558-560"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13596991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Popliteal Cyst: Etiology, Diagnosis and Management, a Current Concept Review.","authors":"Arash Sharafatvaziri, Yalda Farahmand, Fardis Vosoughi, Mehdi Moezi, Mosayeb Soleymani","doi":"10.22038/ABJS.2026.88487.4021","DOIUrl":"10.22038/ABJS.2026.88487.4021","url":null,"abstract":"<p><p>A popliteal cyst, also referred to as a Baker's cyst, is among the most common cystic lesions encountered around the knee joint in orthopedic practice, resulting from distension of the gastrocnemius-semimembranosus bursa within the popliteal fossa and is typically filled with synovial fluid. Magnetic resonance imaging (MRI) is widely used to detect and characterize these cysts. Various invasive and non-invasive therapeutic strategies have been described for the management of Baker's cysts. This review summarizes the clinical presentation, diagnostic evaluation, and current management approaches for popliteal cysts.</p><p><strong>Level of evidence: </strong>V.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 9","pages":"581-589"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13596985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical, Functional and Radiological Results of Bicondylar Tibial Plateau Fractures (AO41.C) Treated by Osteosynthesis with Plates and Screws.","authors":"Iris E Blasco-Smaranda, Sarah Mills-Gañán, María J Minotta-Quebradas, Patricia Crespo-Lastras, Juan C Rubio-Suárez, E Carlos Rodriguez-Merchan","doi":"10.22038/ABJS.2025.88339.4003","DOIUrl":"10.22038/ABJS.2025.88339.4003","url":null,"abstract":"<p><strong>Objectives: </strong>Bicondylar tibial plateau fractures are technically demanding fractures that have a high rate of complications. The aim of this study was to analyse the outcomes of patients diagnosed with bicondylar tibial plateau fractures (AO41.C of the AO/ASIF classification) who were treated by osteosynthesis with plates and screws.</p><p><strong>Methods: </strong>A retrospective observational study of 27 patients was conducted. The mean follow-up was 49.52 months. The minimum follow-up was 2 years. The mean age of the patients was 51.44 years. Fifty-two percent of the patients required external fixation due to poor soft tissue condition, with a mean time to definitive surgery of 9.42 days. The 27 patients were definitively treated by open reduction and internal fixation with plates and screws. In 21 patients, the osteosynthesis was carried out with two plates using a dual approach (anterolateral and posteromedial). In addition to the medial and lateral plate, in 2 patients, a posterior plate was used. In 4 patients, the chosen option was a synthesis with a single plate through the anterolateral approach.</p><p><strong>Results: </strong>The average score on the KOOS (Knee Injury and Osteoarthritis Outcome Score) scale at the end of the follow-up was 53.26 points. The use of external fixation did not correlate with a worse clinical result at the end of the follow-up. According to the Kellgren-Lawrence scale, all patients presented different degrees of arthritic changes. The main complication was discomfort related to the hardware, and 15 patients (55,56%) underwent hardware removal. One of the patients also required a high tibial corrective osteotomy due to the malunion of the fracture in valgus.</p><p><strong>Conclusion: </strong>Although a notable reduction and union of the fracture are achieved, bicondylar tibial plateau fractures result in a major loss of articular function and posttraumatic radiological changes.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 3","pages":"201-211"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-Operative Management of a Failed Olecranon Fracture Fixation Leading to Functional Recovery: A Case Report.","authors":"Roya Khorram, Matthew S Parkis, Amir R Kachooei","doi":"10.22038/ABJS.2025.92034.4172","DOIUrl":"10.22038/ABJS.2025.92034.4172","url":null,"abstract":"<p><p>An 85-year-old female walker dependent presented with a displaced olecranon fracture following a fall. Open reduction and internal fixation (ORIF) using an anatomic olecranon locking plate was performed. Two-week postoperative X-rays revealed fixation failure with persistent fragment displacement and a wide fracture gap. To manage this condition, non-operative management, including sling immobilization for 4 weeks and progressive physical therapy, was pursued with the elbow at 90 degrees flexion. At the 6-month follow-up, the elbow was pain-free with functional range of motion (ROM) being achieved, and functional independence was observed in daily activities including using a walker. This case highlights the potential for successful functional recovery through non-operative management in geriatric patients as an initial treatment or after a failed ORIF, emphasizing the importance of tailoring treatment to patient-specific factors and functional goals over radiographic outcomes.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 7","pages":"484-487"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148663917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of Preoperative Hip Aspiration in Diagnosing Infection before Conversion to Total Hip Arthroplasty after Failed Fixation for Hip Fracture: A Retrospective Study.","authors":"Alireza Moharrami, Mohammad Poursalehian, Mohammadreza Razzaghof, Seyed Mir Mansoor Moazen Jamshidi, Iman Menbari Oskouie, Seyed Peyman Mirghaderi, Nima Hosseini Zare, Moein Khoori, Sm Javad Mortazavi","doi":"10.22038/ABJS.2025.82044.3732","DOIUrl":"10.22038/ABJS.2025.82044.3732","url":null,"abstract":"<p><strong>Objectives: </strong>1.What is the accuracy of preoperative hip aspiration in diagnosing infections in patients scheduled for conversion of failed hip fixation to total hip arthroplasty (cTHA)? 2. What is the clinically significant cutoff value for inflammatory markers that may assist in diagnosing hip infections before cTHA? 3. What is the concordance between preoperative hip aspiration and intraoperative cultures?</p><p><strong>Methods: </strong>A retrospective study was conducted at Imam Khomeini Hospital Complex, Tehran (2017-2021), including candidates for cTHA following failed open reduction and internal fixation (ORIF). Exclusions were dry tap (failed aspiration), recent antibiotic therapy, or insufficient synovial fluid. Patients underwent erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) testing, joint aspiration, and intraoperative cultures, with the latter serving as the gold standard for diagnosis.</p><p><strong>Results: </strong>The study involved 38 patients (mean age 50 ± 16.4 years). Preoperative hip aspiration demonstrated low sensitivity (17.7%) but high specificity (81.0%). C-reactive protein (CRP) demonstrated moderate diagnostic value (AUC = 0.643) with an optimal cutoff of 8.8 mg/L (sensitivity, 64.3%; specificity, 64.7%). Erythrocyte sedimentation rate (ESR) had limited diagnostic value (AUC = 0.577).</p><p><strong>Conclusion: </strong>Preoperative hip aspiration for diagnosing infection in patients with total hip arthroplasties (THA) demonstrated poor sensitivity but high specificity. C-reactive protein (CRP) demonstrated moderate potential, whereas erythrocyte sedimentation rate (ESR) had limited value. These findings underscore the need for improved diagnostic methods, potentially combining multiple tests. Future research should focus on developing more accurate diagnostic approaches for infections in patients with chronic total hip arthroplasty (cTHA).</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 3","pages":"193-200"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13168807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Surgical Treatment of Clavicle Fractures Using Superior and Anterior Plates: A Clinical Trial.","authors":"Mehdi Motififard, Mojtaba Baniasadi, Alireza Assadi, Himan Hoseini, Mahdi Hadian","doi":"10.22038/ABJS.2025.84348.3837","DOIUrl":"10.22038/ABJS.2025.84348.3837","url":null,"abstract":"<p><strong>Objectives: </strong>Clavicle fractures are the most common injuries of the scapular girdle. These fractures can be treated surgically using two primary methods: open reduction with internal plate fixation or intramedullary fixation. Plate fixation can be performed in two commonly used positions: anterior and superior. This randomized, double-blind clinical trial aimed to compare the outcomes of superior versus anterior plate fixation in the treatment of clavicle fractures.</p><p><strong>Methods: </strong>This randomized, double-blind clinical trial focused on patients with clavicle fractures who underwent internal plate fixation between 2020 and 2021. The patients were divided into two groups: the anterior group, which received internal plate fixation using an anterior-inferior plating technique, and the superior group, which received internal plate fixation using a superior plating technique.</p><p><strong>Results: </strong>A total of 75 patients were included in this study, with an average age of 42.32 years in the anterior group and 40.92 years in the superior group. Sixty-three (84%) of the patients were male, and 39 (52%) of the patients sustained their fractures as a result of vehicle accidents. Patients in the anterior group reported a satisfaction score of 96.68 (±1.13), compared to 58.08 (±12.32) in the superior group (p<0.05). Ten (20%) patients in the superior group reported plate-related irritation after three months, while only four (16%) patients in the anterior group experienced irritation (p<0.05). Two patients in the superior group developed non-union and required re-surgery. No cases of infection or pneumothorax occurred due to the surgery. Out of the 75 patients included in the study, two in the superior group and one in the anterior group reported a loss of function at the three-month follow-up.</p><p><strong>Conclusion: </strong>Anterior plating is usually correlated with higher rates of patient satisfaction.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 4","pages":"285-294"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13231253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Surgical Technique and Narrative Review for Pectoralis Major Tendon Repair: Integration of Unicortical Button Fixation and DX Reinforcement Matrix Augmentation.","authors":"Timnit Gebray Tekie, Athanasios Kalogeropoulos, Georgios Togias, Ali Narvani, Mohamed A Imam","doi":"10.22038/ABJS.2026.87034.3952","DOIUrl":"10.22038/ABJS.2026.87034.3952","url":null,"abstract":"<p><p>Pectoralis major tendon (PMT) ruptures are increasingly seen in athletes, particularly weightlifters, often requiring surgical repair to restore function. Current surgical techniques may be limited by poor tendon quality or significant retraction. We present a novel approach combining unicortical button fixation with DX Reinforcement Matrix augmentation in a competitive weightlifter with a complete PMT rupture and contralateral pectoralis dysfunction. Intraoperatively, the tendon was augmented with a DX Matrix and fixed using a unicortical button to restore the anatomic footprint and reduce repair tension. The patient underwent structured rehabilitation and returned to full activity within six months. MRI at 12 months showed intact tendon healing at the anatomical footprint without graft failure or retraction. The Oxford Shoulder Score was 48 at six months, indicating high patient satisfaction. This technique is designed to provide a biomechanically robust and biologically supportive solution for complex PMT repairs and may improve outcomes, particularly in high-demand individuals. Further evaluation in larger cohorts is needed.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 8","pages":"550-557"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13544419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deep Learning-based Detection of Hip Anatomical Landmarks in X-ray Images.","authors":"Mahdie Aghasizade, Morad Karimpour, Masoud Shariat Panahi, Mohammad Akhlaghi, Alireza Almasi Nokiani, Ramin Jafarzadeh Khaledi, Hadi G Kashani","doi":"10.22038/ABJS.2025.82151.3740","DOIUrl":"10.22038/ABJS.2025.82151.3740","url":null,"abstract":"<p><strong>Objectives: </strong>The accurate quantification of hip deformities in medical images presented a significant challenge for radiologists. Inaccurate quantifications can lead to misclassification of diseases and improper treatment. This study introduced two-stage deep learning (DL) models designed for the detection of landmarks in hip X-ray images, aiming to improve the accuracy of deformity quantification.</p><p><strong>Methods: </strong>This study employed two two-stage deep learning (DL) models based on VGG16 and ResNet50. The first stage aimed to detect the bounding box for each landmark, while the second stage focused on pinpointing the exact location of the landmark within the magnified box. The model automatically identified 16 hip landmarks and measures 12 specific dimensions on each side. Training, validation, and testing were conducted on a dataset comprising 854 3-joint lower limb X-ray images depicting various anomalies.</p><p><strong>Results: </strong>The model's measurements were compared with those obtained manually to evaluate performance. The resulting average error ranged from 0.56 to 2.33 mm for different landmarks in the ResNet50-based model. The most accurate measurements were obtained for the femoral head radius and shaft width, with average errors of 0.49 mm and 0.64 mm, respectively. Conversely, the least accurate results were observed for the alpha angle, with an error of 7.37°.</p><p><strong>Conclusion: </strong>This dataset can be valuable for diverse research endeavors related to the hip region. The 2-stage model demonstrated a brief learning time due to the small image size loaded in both steps, while also offering high precision through the use of a bounding box.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 8","pages":"527-539"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13544418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Computer-Assisted Surgery is Associated with Reduced Inflammatory Response in Total Knee Arthroplasty: A Randomized Double-Blinded Control Trial.","authors":"Pruk Chaiyakit, Theerasak Tempaiboolkul, Sittisak Honsawek, Ittiwat Onklin","doi":"10.22038/abjs.2025.87793.3975","DOIUrl":"10.22038/abjs.2025.87793.3975","url":null,"abstract":"<p><strong>Objectives: </strong>Total knee arthroplasty (TKA) is a standard treatment for advanced knee osteoarthritis (OA), but intramedullary reaming used in conventional (CON)-TKA may increase surgical trauma, blood loss, and systemic inflammation. Computer-assisted surgery (CAS)-TKA avoids canal entry and may reduce these adverse effects. This study compared postoperative inflammatory markers between CON-TKA and CAS-TKA.</p><p><strong>Methods: </strong>The study was approved by the Institutional Review Board on September 25, 2019 (COA no. 161/61). Participants were recruited from May 2019 to August 2020, and the trial was retrospectively registered with the Thai Clinical Trials Registry on February 24, 2021 (TCTR20210224007). Forty patients with primary knee OA (mean age 67 years) were randomly assigned to CON-TKA or CAS-TKA. Serum inflammatory markers-interleukin-6, C-reactive protein, and erythrocyte sedimentation rate (sIL-6, sCRP, ESR)-were collected at baseline and at 24 h, 72 h, and 2 weeks after surgery. Synovial markers (jIL-6, jCRP) were obtained intraoperatively and from Hemovac drainage at 24 h. Functional outcomes were assessed using the Knee Osteoarthritis Outcome Score (KOOS) at 2 weeks.</p><p><strong>Results: </strong>The sIL-6 and sCRP levels and ESR at 24 h, 72 h, and 2 weeks after surgery were significantly elevated compared with those at baseline. The CAS-TKA group had a significantly lower change in the sIL-6 and ESR at 2 weeks than the CON-TKA group (5.3 ± 2.9 vs 7.9 ± 4.8, P = 0.040, and 35 ± 16 vs 51 ± 22, P = 0.013). Synovial marker levels did not significantly differ between the two groups. Further, there were no significant differences in KOOS at 2 weeks between the two groups.</p><p><strong>Conclusion: </strong>Compared with CON-TKA, CAS-TKA had a lower inflammatory response and a smaller change in sIL-6 and ESR levels at 2 weeks after surgery. However, its functional benefits should be further investigated.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"14 1","pages":"31-40"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}